Provider Demographics
NPI:1013314020
Name:SCHOPP, CARL (RPH)
Entity Type:Individual
Prefix:MR
First Name:CARL
Middle Name:
Last Name:SCHOPP
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2320 W RYAN RD
Mailing Address - Street 2:
Mailing Address - City:OAK CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53154-4325
Mailing Address - Country:US
Mailing Address - Phone:414-761-1692
Mailing Address - Fax:414-761-8208
Practice Address - Street 1:2320 WEST RYAN RD
Practice Address - Street 2:
Practice Address - City:OAK CREEK
Practice Address - State:WI
Practice Address - Zip Code:53134
Practice Address - Country:US
Practice Address - Phone:414-761-1692
Practice Address - Fax:414-761-8208
Is Sole Proprietor?:No
Enumeration Date:2014-11-20
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8517-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist